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Home My WebLink AboutBLD2023-01547 SFR - BLD Application - 12/28/2023 Permit No• MASON COUNTY RE COMMUNITY DEVELOPMENT p Permit Assistance Center,Building,Planning DEC 2 8 2023 BUILDING PERMIT APPLICATION R 15 NAI Alder Street PROPE,R/TY OWNER INFO TION: CONTRACTOR INFORMATION: NAME:V t l�Lli S GL NAME: ✓ 8y7 MAILING ADD S: Sad MAILING ADDRESS: CITY: STATE: ZIP: CITY: STATE: ZIP: PHONE#I: 3 0" I PHONE: CELL: PHONE#2: 616d EMAIL: EMAIL:Ifibt L&I REG# EXP. PRIMAJRY CONTACT• OWNER f CONTRACTOR❑ , OTHER❑ 0 CQ , NAME EMAIL �( MAILING ADDRESS CITY STATE tip ZIPP.� PHONE s'L/1- �6=(�Cd� CELL-a� -' !,� 7 S"'s 2 o PARCEL INFORMATION: �r �+� PARCEL NUMBER(12 Digit Number) �'7 ( �is� `'✓ o 71 ZONING LEGAL DESCRIPTION(Abbreviated) - Z Q.- FIRE DISTRICT SITE ADDRESS�4fj 1 �- F .►/f— Ct /'• CITY SLI.�!/?9-A-L DIRECTIONS TO SITE ADDRESS U 711, '? 04441 IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOA,SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)_OA IS USE: PRIMARY K SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part(s)ofBldg)�L- NC)[] DESCRIBE WORK&)„f-J SOUARE FOOTAGE:(proposed) (�ot� IST FLOORY F;;GFsq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.fL DECK sq.ft. COVERED DECK I-4 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached Qk Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL LENGTH . W1164-- BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEWS* EXISTING[I PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATIOI�DRAINS PROPOSED? YESX NOe EXISTING SQ.FT. EXISTING BEDROOMS %yl PROPOSED BEDROOMS TOTAL BEDROOMS_a�: — OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PER �PPUATN OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) x 04 '/' 1 A Signature of P NER(Must be signed by the OWNER) Da DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT DEC, KA PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:?2) . : 6.?o-L)IZj4+ PERMIT ASSISTANCE CENTER: ,BUILDING •PLANNING •FIRE MARSHAL 615 W. Alder St- Shelton, WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRA TOR INFORMATION: NAME: L t' 1 NAME: vte, MAILING ADDRESS: / '" 32, ItX ,d 56 MAILING ADDRESS: CITY: _ STATE; VA ZIP: CITY: STATE: ZIP: I'PHONE: PHONE: CELL: 2nd PHONE: O{v " f! L-3 0D EMAIL : EMAIL: g /j L&I REG# EXP. 14 PARCEL INFORMATION- PARCEL PARCEL NUMBER(12 Digit Number): q A 2 - 76 — ` 20 7/ Zoning: LEGAL DESCRIPTION (Abbreviated): -2 2 T a SITE ADDRESS: S-01 r F T CITY: DIRECTIONS TO SITE ADDRESS:'J f1 w� p f� ,o j� ! pr" , . TYPE OF JOB: NEW ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS-1 sT FLOOR�2ND FLOOR=BASEMENT=GARAGE=OTHER[:= PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric[5�JLP atural Gai---]Ductless= Toilets 2 Type of Unit No.of tnits Fees Bathroom Sink Furnace —� Bath Tubs 1 Heat Pump Showers 2 Spot Vent Fan Water Heater I Propane Tank Clothes Washer j Gas Kitchen Sinks Woo as ellet Stove Dishwasher Kitchen xhaust Hood Hose bibs `L Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT DEC- PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN "APPROVED PLANNING: PLANNING SETBACKS ALL SETBACKS ARE MEASURED FROM MASON COUNTY DCD PLANNING THE FURTHEST PROJECTION OF THE SITE PLAN REQUIRED TO BE ON SITE Front: 25'(measured fr m edge of road easement) BUILDING CHANGES SUBJECT TO APPROVAL Rear and Side: 20' 'Subject to EH Setbacks -4 By: �'` ""�' Date: 06/17/2024 ��` C EH APPROVED RThom4o Rhonda Thompson 06/17/2024 d; 30 r NOT AN APPROVED SEPTIC DESIGN Must use SWG 2023-00510 for septic installation �' 36 Z EH Setbacks �`�c A.) Drainfield/Reserve requires 10'setback from footing/foundations B.)Septic tank(s)requires 5'setback from all fooling/foundations 7'\ C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5h and over 45 degrees)within 7 yU 50ft,down gradient of Drainfield/Reserve area rim•;u.v.E. �..v s-/.{�' f ADVANCED ENGINEERING OWNER: LEGAL DESCRIPTION 128 N. River Street S:2.2 T:z/ R_ 5/ T_P_#UL/z2-7G y ��-- Montesano, WA 98563 �`G Z 9Z n� wA st= GvT 7,4 OF y' a`Z06/ 360-249-8447 % G Gv/r' 9a.S 97 /�ry or Gi Z S �f�G S 5'7 Name ri Parcel# 4;a i aN-'i(Q -��rl + BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a Stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the Stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A)_*—The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail:P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for fmal inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- describe pro for revi spection as may required. X6, Owner/A ent/Contractor(circle one)Date: Page 2 of 2 Name C� �D, BLD# Parce # 2 2—7�i —��FD�� Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table'. Surface Type Length X Width = Area *All dimensions in feet B uildin s X = (00l X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways (,� X ( _ <<S'V X = Length of drive begins at the right of way _ X = Parking Areas O X G = LID X = Any paved, gravel or packed area per definition above table X = Patios/Walks 3 X <i X = Any paved, gravel or packed area per definition above table X = Others X U X 2 = c 1 (9 C) If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) I (Q U If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below. Based Upon the information you have provided a Storm water Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2